Study EHR Risk Stratification Tools
NCT06995378 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1200
Last updated 2026-05-08
Summary
This study evaluates whether adding machine learning-based risk information to electronic health record (EHR) lab result messages helps older adults better understand their risk of developing diabetes and influences their emotional responses, quality of life, and healthcare use.
Eligible participants are adults aged 65 years and older with a UCLA primary care provider and a hemoglobin A1c level in the range (5.7-6.0%). Participants are identified automatically at the time their lab results are processed and are randomly assigned to receive either standard lab result messages or modified messages that include a "very low risk" label generated by a machine learning model.
All participants who are randomized are invited to complete two surveys: one shortly after their lab result is posted in MyChart and a follow-up survey approximately 30 days later. The study also uses de-identified EHR data to examine patterns of healthcare utilization and progression to diabetes. Provider comments related to lab result messaging will be analyzed to explore differences in response patterns between the two groups.
Conditions
- Patient Comprehension
- Prediabetes
- Health Communication
Interventions
- DEVICE
-
Hemoglobin A1c Lab Result Communication Tool
A behavioral intervention delivered through a personalized Electronic Health Record (EHR)-integrated lab result communication tool designed to improve emotional and cognitive responses to lab results among adults aged 65+. The tool applies behavioral science principles such as risk personalization, simplified messaging, and visual framing to reduce patient anxiety, enhance understanding, and support informed decision-making.
Sponsors & Collaborators
-
National Institute on Aging (NIA)
collaborator NIH -
University of California, Los Angeles
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-04-30
- Primary Completion
- 2026-10-31
- Completion
- 2029-09-30
- FDA Device
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Comparison of Outreach Approaches to Increase Enrollment in a Healthy Cholesterol Study
NCT02086539 ·Status: COMPLETED ·Phase: NA
-
CKD Awareness, Referrals, Education, and Support Intervention for Early-Stage CKD
NCT07210710 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Interactive vs. Standard Video Education for Improving Outcomes in Hemodialysis Patients
NCT07099326 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Feasibility Study of Use and Acceptability of New Clear Communication of Lab Test Results (CCLR) Letter for Older Adults
NCT06971887 ·Status: COMPLETED ·Phase: NA
-
Evaluating a Low-Literacy Discharge Medication Education Tool
NCT00408733 ·Status: COMPLETED ·Phase: NA
-
Increasing Medication Adherence Through Physician Incentives and Messaging
NCT01603329 ·Status: COMPLETED ·Phase: NA
-
Social Engagement Strategies to Improve Medication Adherence
NCT03734887 ·Status: TERMINATED ·Phase: NA
-
MI-CBT Adherence Program for Lifestyle Interventions in Older Adults
NCT04817176 ·Status: COMPLETED ·Phase: NA
-
A Randomized Controlled Trial of a Pre-Transplant Education Intervention
NCT03633136 ·Status: COMPLETED ·Phase: NA
-
Message Testing for CKD
NCT05462158 ·Status: COMPLETED ·Phase: NA
-
Comparing Healthcare Visit Recording and Open Notes to Improve Chronic iLlness Care Experience in Older Adults
NCT05955339 ·Status: RECRUITING ·Phase: NA
-
Improving Medication Adherence: A Study With Talking Pill Bottles
NCT02827773 ·Status: COMPLETED ·Phase: NA
-
Mobile Chat Messaging for Alcohol Reduction in Patients With Chronic Liver Diseases
NCT06587568 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Empowering Veterans to Communicate With Healthcare Providers
NCT03529071 ·Status: TERMINATED ·Phase: NA
-
Medication Adherence Program
NCT05183763 ·Status: RECRUITING ·Phase: NA
-
Using SystemCHANGE™ to Enhance Medication Adherence in Older Adult Stroke Survivors
NCT03211130 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Activating Seniors to Improve Chronic Disease Care
NCT00651495 ·Status: COMPLETED ·Phase: NA
-
UCLA Health Patient Health Maintenance Outreach Text Message
NCT05793788 ·Status: COMPLETED ·Phase: NA
-
Decision Aid for Renal Therapy
NCT03522740 ·Status: COMPLETED ·Phase: NA
-
Improving Advance Care Planning by Preparing Diverse Seniors for Decision Making
NCT01990235 ·Status: COMPLETED ·Phase: NA
-
Evaluation of a Data Collection Tool in Clinical Research: Comparison Between the Data Collected by Patient Diary and Data From Medical Administrative Databases
NCT02893059 ·Status: WITHDRAWN
-
Reducing Assessment Barriers for Patients With Low Literacy
NCT03584490 ·Status: COMPLETED ·Phase: NA
-
Communication Model to Self-Care - Regardless of Health Literacy
NCT04929314 ·Status: COMPLETED ·Phase: NA
-
Hormone Replacement Therapy (HRT) Website Tool
NCT00319072 ·Status: COMPLETED ·Phase: PHASE2
-
Comparing Paper-based and Tablet-delivered Informed Consent for Older Adults
NCT02114970 ·Status: COMPLETED ·Phase: NA